Organization
OLIVE GARDEN HEALTHCARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORCAS BOLAJI (OWNER AND AUTHORIZED OFFICIAL)
(404) 808-4583
Entity
Organization
Contact information
Practice address
3004 FAIRVIEW RD, COVINGTON, GA 30016-1117
(404) 808-4583
Mailing address
3004 FAIRVIEW RD, COVINGTON, GA 30016-1117
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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